Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shelley Petersen

Individual provider Specialist · NPI 1770848152

Shelley Petersen is a Specialist in Wampsville, New York. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

138 N Court St
Wampsville, NY 13163-0605
Phone: (315) 366-2363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1770848152
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 11, 2012
Last updated in NPPESJuly 11, 2012